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1154790814
STACY MARISSA FARESE
BIDDEFORD, ME
NPI
1154790814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME CC5472)
Enumeration Date
2015-09-23
Last Update Date
2020-11-10
Business Address
STACY MARISSA FARESE
314 ALFRED ST
BIDDEFORD, ME 04005-3102
Phone number: 207-216-2637
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Mailing Address
STACY MARISSA FARESE
PO BOX 186
WELLS, ME 04090-0186
Phone number: 207-370-2483
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